Organization
CLARKSBURG VAMC
Active
Other names
CLARKSBURG VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1 MED CENTER DRIVE, CLARKSBURG, WV 26301-4155
(304) 623-3461
(304) 623-7690
Mailing address
PO BOX 94436, CLEVELAND, OH 44101-4436
(828) 257-2333
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5004875
NCPDP#
WV
Enumeration date
05/04/2006
Last updated
01/11/2022
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